If Your Insurance Appeal is Not Properly Processed, File a Complaint with Their Oversight Agency
If your appeal was not processed correctly, you have the right to take further action.
Here’s how to proceed based on your policy type:
For Policies Provided by a Government Employer or a Church
- File a complaint with your State Insurance Commissioner.
-Your State Insurance Commissioner can help investigate complaints
and ensure that insurers comply with state laws and regulations.
For Policies Provided by an Employer
- File a complaint with the Employee Benefit Security Administration (EBSA).
- You can call EBSA at (866) 444-3272.
- Alternatively, you can click here to file a complaint online.
EBSA’s Benefit Advisors are ready to assist with inquiries and complaints,
and they will escalate unresolved matters to their enforcement team.
When contacted by their overseeing agency, insurance companies often resolve claim issues promptly.